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Sertraline response

MedGen UID:
808067
Concept ID:
CN221265
Sign or Symptom
Synonym: Zoloft response
Drug:
Sertraline
MedGen UID:
35844
Concept ID:
C0074393
Pharmacologic Substance
A selective serotonin uptake inhibitor that is used in the treatment of depression. [from MeSH]
 
Gene (location): CYP2C19 (10q23.33)

Definition

Serotonin reuptake inhibitor antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and serotonin modulators with SSRI-like properties are pharmacotherapy options for major depressive and anxiety disorders. Inadequate response and treatment-related adverse events are known challenges in antidepressant therapy. Genetic variations in genes encoding the drug metabolizing enzymes, CYP2D6, CYP2C19 and CYP2B6, have been shown to alter antidepressant biotransformation, which may potentially affect dosing, efficacy, and tolerability. [from PharmGKB]

Term Hierarchy

Professional guidelines

PubMed

Steffens DC
N Engl J Med 2024 Feb 15;390(7):630-639. doi: 10.1056/NEJMcp2305428. PMID: 38354142Free PMC Article
Bousman CA, Stevenson JM, Ramsey LB, Sangkuhl K, Hicks JK, Strawn JR, Singh AB, Ruaño G, Mueller DJ, Tsermpini EE, Brown JT, Bell GC, Leeder JS, Gaedigk A, Scott SA, Klein TE, Caudle KE, Bishop JR
Clin Pharmacol Ther 2023 Jul;114(1):51-68. Epub 2023 May 30 doi: 10.1002/cpt.2903. PMID: 37032427Free PMC Article
Cipriani A, Furukawa TA, Salanti G, Chaimani A, Atkinson LZ, Ogawa Y, Leucht S, Ruhe HG, Turner EH, Higgins JPT, Egger M, Takeshima N, Hayasaka Y, Imai H, Shinohara K, Tajika A, Ioannidis JPA, Geddes JR
Lancet 2018 Apr 7;391(10128):1357-1366. Epub 2018 Feb 21 doi: 10.1016/S0140-6736(17)32802-7. PMID: 29477251Free PMC Article

Curated

CPIC® Guideline for Serotonin Reuptake Inhibitor Antidepressants and CYP2D6, CYP2C19, CYP2B6, SLC6A4, and HTR2A, 2023

Royal Dutch Pharmacists Association (KNMP). Dutch Pharmacogenetics Working Group (DPWG). Pharmacogenetic Guidelines [Internet]. CYP2C19: sertraline

Recent clinical studies

Etiology

Kaiser RH, Chase HW, Phillips ML, Deckersbach T, Parsey RV, Fava M, McGrath PJ, Weissman M, Oquendo MA, McInnis MG, Carmody T, Cooper CM, Trivedi MH, Pizzagalli DA
Biol Psychiatry 2022 Oct 1;92(7):533-542. Epub 2022 Apr 6 doi: 10.1016/j.biopsych.2022.03.020. PMID: 35680431Free PMC Article
Bråten LS, Ingelman-Sundberg M, Jukic MM, Molden E, Kringen MK
Clin Transl Sci 2022 Sep;15(9):2135-2145. Epub 2022 Jun 22 doi: 10.1111/cts.13347. PMID: 35668575Free PMC Article
Zou Z, Huang Y, Wang J, Min W, Zhou B
BMC Psychiatry 2020 Jul 28;20(1):388. doi: 10.1186/s12888-020-02790-y. PMID: 32723321Free PMC Article
Alhadab AA, Rhein J, Tugume L, Musubire A, Williams DA, Abassi M, Nicol MR, Meya DB, Boulware DR, Brundage RC; ASTRO-CM Study Team
J Pharmacokinet Pharmacodyn 2019 Dec;46(6):565-576. Epub 2019 Oct 4 doi: 10.1007/s10928-019-09657-0. PMID: 31584146Free PMC Article
Glassman AH, Bigger JT, Gaffney M, Shapiro PA, Swenson JR
Arch Gen Psychiatry 2006 Mar;63(3):283-8. doi: 10.1001/archpsyc.63.3.283. PMID: 16520433

Diagnosis

Glassman AH, Bigger JT, Gaffney M, Shapiro PA, Swenson JR
Arch Gen Psychiatry 2006 Mar;63(3):283-8. doi: 10.1001/archpsyc.63.3.283. PMID: 16520433
Freeman EW, Sondheimer SJ, Polansky M, Garcia-Espagna B
J Clin Psychiatry 2000 Aug;61(8):579-84. doi: 10.4088/jcp.v61n0807. PMID: 10982201

Therapy

Poirot MG, Ruhe HG, Mutsaerts HMM, Maximov II, Groote IR, Bjørnerud A, Marquering HA, Reneman L, Caan MWA
Am J Psychiatry 2024 Mar 1;181(3):223-233. Epub 2024 Feb 7 doi: 10.1176/appi.ajp.20230206. PMID: 38321916
Kaiser RH, Chase HW, Phillips ML, Deckersbach T, Parsey RV, Fava M, McGrath PJ, Weissman M, Oquendo MA, McInnis MG, Carmody T, Cooper CM, Trivedi MH, Pizzagalli DA
Biol Psychiatry 2022 Oct 1;92(7):533-542. Epub 2022 Apr 6 doi: 10.1016/j.biopsych.2022.03.020. PMID: 35680431Free PMC Article
Zou Z, Huang Y, Wang J, Min W, Zhou B
BMC Psychiatry 2020 Jul 28;20(1):388. doi: 10.1186/s12888-020-02790-y. PMID: 32723321Free PMC Article
Alhadab AA, Rhein J, Tugume L, Musubire A, Williams DA, Abassi M, Nicol MR, Meya DB, Boulware DR, Brundage RC; ASTRO-CM Study Team
J Pharmacokinet Pharmacodyn 2019 Dec;46(6):565-576. Epub 2019 Oct 4 doi: 10.1007/s10928-019-09657-0. PMID: 31584146Free PMC Article
Hellings JA, Kelley LA, Gabrielli WF, Kilgore E, Shah P
J Clin Psychiatry 1996 Aug;57(8):333-6. PMID: 8778118

Prognosis

Poirot MG, Ruhe HG, Mutsaerts HMM, Maximov II, Groote IR, Bjørnerud A, Marquering HA, Reneman L, Caan MWA
Am J Psychiatry 2024 Mar 1;181(3):223-233. Epub 2024 Feb 7 doi: 10.1176/appi.ajp.20230206. PMID: 38321916
Kaiser RH, Chase HW, Phillips ML, Deckersbach T, Parsey RV, Fava M, McGrath PJ, Weissman M, Oquendo MA, McInnis MG, Carmody T, Cooper CM, Trivedi MH, Pizzagalli DA
Biol Psychiatry 2022 Oct 1;92(7):533-542. Epub 2022 Apr 6 doi: 10.1016/j.biopsych.2022.03.020. PMID: 35680431Free PMC Article
Zou Z, Huang Y, Wang J, Min W, Zhou B
BMC Psychiatry 2020 Jul 28;20(1):388. doi: 10.1186/s12888-020-02790-y. PMID: 32723321Free PMC Article
Alhadab AA, Rhein J, Tugume L, Musubire A, Williams DA, Abassi M, Nicol MR, Meya DB, Boulware DR, Brundage RC; ASTRO-CM Study Team
J Pharmacokinet Pharmacodyn 2019 Dec;46(6):565-576. Epub 2019 Oct 4 doi: 10.1007/s10928-019-09657-0. PMID: 31584146Free PMC Article
Freeman EW, Sondheimer SJ, Polansky M, Garcia-Espagna B
J Clin Psychiatry 2000 Aug;61(8):579-84. doi: 10.4088/jcp.v61n0807. PMID: 10982201

Clinical prediction guides

Poirot MG, Ruhe HG, Mutsaerts HMM, Maximov II, Groote IR, Bjørnerud A, Marquering HA, Reneman L, Caan MWA
Am J Psychiatry 2024 Mar 1;181(3):223-233. Epub 2024 Feb 7 doi: 10.1176/appi.ajp.20230206. PMID: 38321916
Zou Z, Huang Y, Wang J, Min W, Zhou B
BMC Psychiatry 2020 Jul 28;20(1):388. doi: 10.1186/s12888-020-02790-y. PMID: 32723321Free PMC Article
Alhadab AA, Rhein J, Tugume L, Musubire A, Williams DA, Abassi M, Nicol MR, Meya DB, Boulware DR, Brundage RC; ASTRO-CM Study Team
J Pharmacokinet Pharmacodyn 2019 Dec;46(6):565-576. Epub 2019 Oct 4 doi: 10.1007/s10928-019-09657-0. PMID: 31584146Free PMC Article
Dogan O, Yuksel N, Ergun MA, Yilmaz A, Ilhan MN, Karslioglu HE, Koc A, Menevse A
Genet Test 2008 Jun;12(2):225-31. doi: 10.1089/gte.2007.0089. PMID: 18452396
Hellings JA, Kelley LA, Gabrielli WF, Kilgore E, Shah P
J Clin Psychiatry 1996 Aug;57(8):333-6. PMID: 8778118

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • CPIC, 2023
      CPIC® Guideline for Serotonin Reuptake Inhibitor Antidepressants and CYP2D6, CYP2C19, CYP2B6, SLC6A4, and HTR2A, 2023
    • DPWG, 2021
      Royal Dutch Pharmacists Association (KNMP). Dutch Pharmacogenetics Working Group (DPWG). Pharmacogenetic Guidelines [Internet]. CYP2C19: sertraline

    Consumer resources

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